Individual
SUZANNE M. BERTOLLO
Active
Individual
SUZANNE M. BERTOLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., MPH
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
30296
SC
207P00000X
Emergency Medicine Physician
9700023
NC
207P00000X
Emergency Medicine Physician
ME144621
FL
2083P0901X
Public Health & General Preventive Medicine Physician
30296
SC
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
ME144621
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79-10976
—
NC
01
—
AA22522353
MEDICARE PTAN
SC
05
—
N00023
—
SC
Enumeration date
05/08/2006
Last updated
06/28/2021
Update your record
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